Healthcare Provider Details

I. General information

NPI: 1104312628
Provider Name (Legal Business Name): AMERICAN ONCOLOGY PARTNERS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2018
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 HARMONY PARK CIR
HOT SPRINGS AR
71913-5417
US

IV. Provider business mailing address

PO BOX 749482
ATLANTA GA
30374-9482
US

V. Phone/Fax

Practice location:
  • Phone: 501-624-7700
  • Fax:
Mailing address:
  • Phone: 855-963-2100
  • Fax: 813-813-1296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN K OLSON
Title or Position: OWNER / PRESIDENT
Credential: MD
Phone: 239-318-9284